Increased gonadotropin responsiveness to gonadotropin-releasing hormone during fasting in normal subjects.
Increased gonadotropin responsiveness to gonadotropin-releasing hormone during fasting in normal subjects.
复制标题
正常受试者禁食期间促性腺激素对促性腺激素释放激素的反应性增加。
DOI:
10.1016/0026-0495(87)90057-6
复制
发表时间:
1987
期刊:
影响因子:
--
通讯作者:
S. Röjdmark
中科院分区:
文献类型:
--
作者:
S. Röjdmark
To investigate whether food deprivation affects hormone release from pituitary gonadotrophs, luteinizing hormone (LH) and follicle-stimulating hormone (FSH) responses to intravenous (IV) administration of 50 μg gonadotropin-releasing hormone (GnRH) were determined in 12 healthy subjects (six women and six men) after an overnight fast and after a fasting period of 56 hours. In the female participants, these GnRH tests were performed early in the follicular phase of the menstrual cycle. Blood glucose declined during the fast from 4.4 ± 0.1 (mean ± SEM) to 3.3 ± 0.1 mmol/L (P< .001). LH and FSH responsiveness to GnRH—as reflected by hormone incremental areas—increased from 1973 ± 256 to 3267 ± 450 (IU/L × min) for LH (P< .001), and from 376 ± 44 to 705 ± 112 (IU/L × min) for FSH (P< .01). When control studies were carried out in nonfasted subjects in exactly the same way as in the fasted participants, the gonadotropin responsiveness to GnRH did not change significantly between the tests. To explore possible mechanisms behind the increased gonadotropin responsiveness in fasted subjects, six of the above mentioned healthy women were given nine small oral doses of glucose (each dose 0.5 g/kg) during an additional 56-hour fast to prevent blood glucose from falling significantly during the period of food deprivation. This did not change the hormone response pattern at all, since both the LH and the FSH responses to GnRH increased significantly during the glucose-supplemented fasting period. Six additional normal women were given metoclopramide (MET) orally, at a dose of 10 mg three times daily, to induce dopamine (DA) receptor blockade during a 56-hour fast. This experimental design revealed LH and FSH responses to GnRH that were to longer increased in fasting. The results imply that short-term fasting increases the sensitivity of the gonadotrophs to exogenous GnRH in normal subjects. A fasting-induced decrease in the glucose delivery to the gonadotrophs is probably not the mechanism behind the above mentioned effect of fasting. Although an increased central DA activity may be of importance, other, as yet unknown factors, may also play prominent roles in this context.
影响因子:
4.8
作者:
Pieper,DR;Gala,RR;Schiff,MA;Regiani,SR;Marshall,JC
通讯作者:
Marshall,JC